Organization Information * Required Information
Contact Person's First Name*
Contact Person's Last Name*
Number of participants
In order to customize the workshop to fit the interests of your organization
and audience, please address the following questions:
1. What are the mission and goals of your organization?*
2. Who are members of the audience (i.e., majors, class level, interests,
etc.), and proposed set up of the workshop (if you have a panel, please
indicate names and offices represented by other panelists)?*
Workshop InformationProposed Workshop Title
three possible workshop dates and times in order of
preference. Workshop dates must be at least two weeks after
the submission of this form.
If audio/visual equipment is needed for the presentation, please specify
your preference below:
Organization can provide the equipment.
Organization would like UROP to provide the equipment.
Double-check that your information is correct,
then click the Continue button